Individual
JILLIAN RAE CAMINSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
8640 SUDLEY RD STE 306, MANASSAS, VA 20110-4404
(703) 330-3939
(703) 331-0959
Mailing address
8640 SUDLEY RD STE 306, MANASSAS, VA 20110-4404
(703) 330-3939
(703) 331-0959
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024188545
VA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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